Individual
DR. MATTHEW WADE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 NE RALPH POWELL RD STE C, LEES SUMMIT, MO 64064-2316
(816) 285-5053
(816) 842-1974
Mailing address
5501 NW 62ND TER STE 100, KANSAS CITY, MO 64151-2412
(816) 842-4440
(816) 842-1974
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009007994
MO
Other
Enumeration date
06/29/2006
Last updated
10/11/2022
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